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A 48 year old man suffered a 9 h dreamy state with automatisms. The neurological examination revealed disinhibited behaviour, a positive Romberg sign, and absent abdominal and weak tendon reflexes. Neuropsychological examination showed a selective reduction of short term spatial memory. A brain MRI performed after 2 weeks showed a prevalently cortical lesion in the right temporal and basal frontal lobes, which was slight hypointense in T1 weighted images and hyperintense in DP and T2 weighted images (fig 1), without …
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